Dapoxetine + Sildenafil/Tadalafil: Does Combination Therapy Really Extend Time to Ejaculation?

Sexual activity can put extra strain on your heart, which may be unsafe for people with certain health problems, such as a recent heart attack. Talk to your healthcare provider to see if your heart is strong enough for sex. If you feel chest pain, dizziness, or nausea during sex, stop and contact your healthcare provider right away.

• Tadalafil and dapoxetine are combined to treat premature ejaculation and erectile dysfunction.
• Tadalafil prolongs erection, while dapoxetine delays ejaculation for better sexual control.
• The medication is usually taken prior to sexual activity for optimal results.
• Tadalafil has a long half-life, providing up to 36 hours of effectiveness.
• Dapoxetine is a fast-acting SSRI that helps reduce the urgency associated with ejaculation.
• Combining these drugs can enhance sexual performance and satisfaction.

Tadalafil does not protect against sexually transmitted infections, including HIV. Tadalafil belongs to a group of medicines, known as phosphodiesterase-5 (PDE-5) inhibitors, which are used to treat erectile dysfunction or pulmonary arterial hypertension. You should not take more than one PDE-5 inhibitor medicine. Medicines in this group include avanafil (Stendra), sildenafil (Viagra, Revatio, and others), tadalafil (Cialis and others), and vardenafil (Levitra, Staxyn).

Can I increase the dose of dapoxetine?

If you or someone else has used too much tadalafil, get medical help right away, call 911, or contact a Poison Control center at 800-222-1222. If it is almost time for your next dose, skip the missed dose and only take the next dose. Do not take double or extra doses. Some tadalafil products are meant to be used only when needed. Take it as your healthcare provider recommends.

Study Registration Dates

This survey is being conducted by the WebMD marketing sciences department. May dapoxetine order online 16, 2022 updated by: Neutec Ar-Ge San ve Tic A.Ş The purpose of this study is to evaluate the safety and efficacy of Dapoxetine/Tadalafil 30/20 mg film-coated tablet in the treatment of men with premature ejaculation and erectile dysfunction. This section provides the contact details for those conducting the study, and information on where this study is being conducted. Istanbul, TurkeyOkmeydanı Training and Research Hospital Urology Dep. Contact:Mehmet Gokhan Culha, DrPhone Number: 0000 00902123145555Email: gokhan_culha64@hotmail.com Istanbul, TurkeyOkmeydanı Training and Research Hospital Urology Dep.

Premature ejaculation

Contact:Mehmet Gokhan Culha, DrPhone Number: 0000 00902123145555Email: gokhan_culha64@hotmail.com Okmeydanı Training and Research Hospital Urology Dep. Contact:Mehmet Gokhan Culha, DrPhone Number: 0000 00902123145555Email: gokhan_culha64@hotmail.com Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments. Participants must be heterosexual males and in a stable monogamous sexual relationship with a female partner for at least 6 months and will continue throughout the study, Clinical diagnosis of erectile dysfunction, IIEF score ≤21, Premature Ejaculation Diagnostic Tool (PEDT) score must be ≥11 Patients with life-long PE and acquired PE according to the description of International Society for Sexual Medicine (ISSM) , The patient and his partner must have sexual intercourse twice a week for the duration of the study, Commitment to comply with the study protocol, Patients who sign informed consent form (ICF). History of medical events such as surgical interventions or neurologic conditions (e.g., multiple sclerosis), trauma, or infections that are associated with the development of symptoms of premature ejaculation (PE) and considered a potential cause of PE, Having genital abnormalities, except penile curvature unless not prevent sexual intercourse, Developed erectile dysfunction or premature ejaculation due to drug use or quit taking drugs, Any conditions that prevent sexual intercourse with partners History of in last 6 months stroke, myocard infarction, cardiac insufficiency (New York Cardiovascular Associates (NYCA) phase II-IV), atrioventricular block or message disorder such as sick sinus syndrome, severe ischemic cardiac disease, syncope, unstable angina, life-threatening arrhythmia or hypotension, Patients who are not eligible to have sexual intercourse due to existing health problems, Autonomic neuropathy, retinitis pigmentosa, blood diseases, active peptic ulcer, abnormalities in ECG, severe systemic disease that cannot be controlled, Systolic/Diastolic blood pressure at rest <90/50 mmHg and 170/100 mmHg< History of allergy to Selective Serotonin Reuptake Inhibitor (SSRI) and phosphodiesterase inhibitor drugs, Continuing to use or quitted in last 3 months of Monoamine oxidase inhibitor (MAOI), Thioridazine, Serotonin Reuptake Inhibitor (SSRI), Selective-norepinephrine Reuptake Inhibitor (SNRI), Serotonergic drug/herbal product, tricyclic antidepressant and atypical antipsychotic drugs, Use of nitrates, alfa blockers, vasodilators, ketoconazole, itraconazole, ritonavir, saquinavir, telithromycin, nefazodone, nelfinavir, atazanavir, cimetidine, erythromycin, clarithromycin, fluconazole, amprenavir, fosamprenavir, aprepitant, verapamil, diltiazem, any kind of vasodilator, antiplatelet, anticoagulant, dapoxetine, phosphodiesterase 5 inhibitor, alcohol and stimulant drug, Patients on a different therapy (behavioral therapy or other drugs that are applied locally) for PE treatment During the study, the possibility of taking medication which may affect the study drug's pharmacokinetic/pharmacodynamic properties Patients who are defining symptoms of prostatitis clinically This section provides details of the study plan, including how the study is designed and what the study is measuring. If you take liquid tadalafil, shake the bottle well for 30 seconds before use. Use an accurate measuring device to measure your dose. A household spoon is not an accurate measuring device and may cause you to take the wrong dose. Ask your pharmacist to recommend an appropriate measuring device. Tell your healthcare provider about all of your health conditions and any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using.

This will help them determine if tadalafil is right for you. In particular, make sure that you discuss any of the following. Tell your healthcare provider if you have any of the following. Heart problems, such as heart rhythm problems, chest pain, or heart failure Heart attack, stroke, or heart surgery within the past six months High blood pressure that is still too high despite taking medicines for it Peyronie's disease, or a penis with an abnormal curve or shape An erection lasting longer than four hours A blood disorder, such as sickle cell anemia, multiple myeloma, or leukemia An inherited eye disease called retinitis pigmentosa Vision loss, or a problem with the nerve between your eyes and brain (optic nerve) Health conditions or factors that raise the risk of optic nerve problems, such as diabetes, high cholesterol, smoking, being older than 50, or having a “crowded disc,” which is something an eye doctor may see in an eye exam Pulmonary veno-occlusive disease, a condition where blood vessels in the lungs are blocked It is not known if or how tadalafil could affect pregnancy or harm an unborn baby. Tell your tadalafil dapoxetine healthcare provider if you are or plan to become pregnant. Your healthcare provider will advise you if you should take tadalafil while you are pregnant or trying to get pregnant. It is not known if tadalafil passes into breast milk. Tell your healthcare provider if you are breastfeeding or plan to breastfeed. Your healthcare provider may recommend limiting or avoiding grapefruit while taking tadalafil. Grapefruit or grapefruit juice can raise tadalafil levels in your body, which can increase the risk of side effects. It is unknown if drinking alcohol will affect tadalafil.

The risk of low blood pressure and dizziness may be increased if you drink alcohol while taking tadalafil. It is best to limit the amount of alcohol you drink while taking tadalafil.

Always tell your healthcare provider about any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using.

• Tadalafil with dapoxetine is available under various brand names globally.
• Side effects may include headache, dizziness, nausea, or flushing.
• It’s important to follow prescribed dosages to minimize adverse effects.
• These tablets are not suitable for individuals with certain heart conditions.
• Do not mix with alcohol, as it can increase side effects and reduce effectiveness.
• Always consult a healthcare professional before starting this medication.

In particular, make sure that you discuss if you are using any of the following before taking tadalafil.

Collaborators and Investigators

Heart problems, such as heart rhythm problems, chest pain, or heart failure Heart attack, stroke, or heart surgery within the past six months High blood pressure that is still too high despite taking medicines for it Peyronie's disease, or a penis with an abnormal curve or shape An erection lasting longer than four hours A blood disorder, such as sickle cell anemia, multiple myeloma, or leukemia An inherited eye disease called retinitis pigmentosa Vision loss, or a problem with the nerve between your eyes and brain (optic nerve) Health conditions or factors that raise the risk of optic nerve problems, such as diabetes, high cholesterol, smoking, being older than 50, or having a “crowded disc,” which is something an eye doctor may see in an eye exam Pulmonary veno-occlusive disease, a condition where blood vessels in the lungs are blocked It is not known if or how tadalafil could affect pregnancy or harm an unborn baby. Tell your tadalafil dapoxetine healthcare provider if you are or plan to become pregnant. Your healthcare provider will advise you if you should take tadalafil while you are pregnant or trying to get pregnant. It is not known if tadalafil passes into breast milk. Tell your healthcare provider if you are breastfeeding or plan to breastfeed.

Who should not use tadalafil?

Your healthcare provider may recommend limiting or avoiding grapefruit while taking tadalafil. Grapefruit or grapefruit juice can raise tadalafil levels in your body, which can increase the risk of side effects. It is unknown if drinking alcohol will affect tadalafil. The risk of low blood pressure and dizziness may be increased if you drink alcohol while taking tadalafil. It is best to limit the amount of alcohol you drink while taking tadalafil.

What should I know about tadalafil before using it?

Always tell your healthcare provider about any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using. In particular, make sure that you discuss if you are using any of the following before taking tadalafil. A nitrate, such as nitroglycerin (Nitro-Dur, Nitrostat, and others) or isosorbide, which is a medicine used for chest pain caused by a type of heart disease, or a street drug, such as amyl nitrite (“poppers”) A guanylate cyclase stimulator, such as riociguat (Adempas), which is a medicine used for high blood pressure in the lungs (pulmonary arterial hypertension), or vericiguat (Verquvo), which is a medicine used for a type of heart failure An alpha-blocker, such as alfuzosin (Uroxatral), doxazosin (Cardura), dutasteride, prazosin (Minipress), silodosin (Rapaflo), tamsulosin (Flomax), or terazosin (Hytrin), which is a medicine that may be used for high blood pressure and/or difficulty peeing due to an enlarged prostate A blood pressure medicine, such as amlodipine (Norvasc) or enalapril (Vasotec) Bosentan (Tracleer), which is a medicine used for pulmonary arterial hypertension A protease inhibitor, such as ritonavir (Norvir), which is a medicine commonly used to treat HIV Rifampin (Rifadin), which is a medicine commonly used to treat an infection called tuberculosis A medicine used for fungal infections, such as ketoconazole or itraconazole (Sporanox, Tolsura) Erythromycin (Ery-Tab and others) or clarithromycin (Biaxin), which is a medicine used for bacterial infections Any other medicine used for erectile dysfunction or pulmonary arterial hypertension Some other medicines may alter the blood levels of tadalafil. Tell your healthcare provider about all medicines that you vardenafil with dapoxetine tablets take or have recently taken. This may not be a complete list of medicines that can interact with tadalafil. A nitrate, such as nitroglycerin (Nitro-Dur, Nitrostat, and others) or isosorbide, which is a medicine used for chest pain caused by a type of heart disease, or a street drug, such as amyl nitrite (“poppers”) A guanylate cyclase stimulator, such as riociguat (Adempas), which is a medicine used for high blood pressure in the lungs (pulmonary arterial hypertension), or vericiguat (Verquvo), which is a medicine used for a type of heart failure An alpha-blocker, such as alfuzosin (Uroxatral), doxazosin (Cardura), dutasteride, prazosin (Minipress), silodosin (Rapaflo), tamsulosin (Flomax), or terazosin (Hytrin), which is a medicine that may be used for high blood pressure and/or difficulty peeing due to an enlarged prostate A blood pressure medicine, such as amlodipine (Norvasc) or enalapril (Vasotec) Bosentan (Tracleer), which is a medicine used for pulmonary arterial hypertension A protease inhibitor, such as ritonavir (Norvir), which is a medicine commonly used to treat HIV Rifampin (Rifadin), which is a medicine commonly used to treat an infection called tuberculosis A medicine used for fungal infections, such as ketoconazole or itraconazole (Sporanox, Tolsura) Erythromycin (Ery-Tab and others) or clarithromycin (Biaxin), which is a medicine used for bacterial infections Any other medicine used for erectile dysfunction or pulmonary arterial hypertension Some other medicines may alter the blood levels of tadalafil. Tell your healthcare provider about all medicines that you vardenafil with dapoxetine tablets take or have recently taken. This may not be a complete list of medicines that can interact with tadalafil. If you or someone else has used too much tadalafil, get medical help right away, call 911, or contact a Poison Control center at 800-222-1222. If it is almost time for your next dose, skip the missed dose and only take the next dose. Do not take double or extra doses. Some tadalafil products are meant to be used only when needed. Take it as your healthcare provider recommends. This survey is being conducted by the WebMD marketing sciences department. May dapoxetine order online 16, 2022 updated by: Neutec Ar-Ge San ve Tic A.Ş The purpose of this study is to evaluate the safety and efficacy of Dapoxetine/Tadalafil 30/20 mg film-coated tablet in the treatment of men with premature ejaculation and erectile dysfunction.

• Tadalafil with dapoxetine can improve confidence and reduce performance anxiety.
• The medication should be used as part of a comprehensive treatment plan.
• It’s important to disclose all medications to your healthcare provider to avoid interactions.
• Never share your medication with others, as it may not be suitable for them.
• Regular check-ups are recommended to monitor health and medication effects.
• Be aware of potential drug interactions that can alter drug effectiveness or safety.

This section provides the contact details for those conducting the study, and information on where this study is being conducted. Istanbul, TurkeyOkmeydanı Training and Research Hospital Urology Dep. Contact:Mehmet Gokhan Culha, DrPhone Number: 0000 00902123145555Email: gokhan_culha64@hotmail.com Istanbul, TurkeyOkmeydanı Training and Research Hospital Urology Dep. Contact:Mehmet Gokhan Culha, DrPhone Number: 0000 00902123145555Email: gokhan_culha64@hotmail.com Okmeydanı Training and Research Hospital Urology Dep.

Does dapoxetine affect testosterone levels?

Sexual activity can put extra strain on your heart, which may be unsafe for people with certain health problems, such as a recent heart attack. Talk to your healthcare provider to see if your heart is strong enough for sex. If you feel chest pain, dizziness, or nausea during sex, stop and contact your healthcare provider right away. Tadalafil does not protect against sexually transmitted infections, including HIV. Tadalafil belongs to a group of medicines, known as phosphodiesterase-5 (PDE-5) inhibitors, which are used to treat erectile dysfunction or pulmonary arterial hypertension.

What is tadalafil used for?

You should not take more than one PDE-5 inhibitor medicine. Medicines in this group include avanafil (Stendra), sildenafil (Viagra, Revatio, and others), tadalafil (Cialis and others), and vardenafil (Levitra, Staxyn). If you take liquid tadalafil, shake the bottle well for 30 seconds before use. Use an accurate measuring device to measure your dose. A household spoon is not an accurate measuring device and may cause you to take the wrong dose.

Study Record Updates

Ask your pharmacist to recommend an appropriate measuring device. Tell your healthcare provider about all of your health conditions and any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using. This will help them determine if tadalafil is right for you. In particular, make sure that you discuss any of the following. Tell your healthcare provider if you have any of the following. Contact:Mehmet Gokhan Culha, DrPhone Number: 0000 00902123145555Email: gokhan_culha64@hotmail.com Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments. Participants must be heterosexual males and in a stable monogamous sexual relationship with a female partner for at least 6 months and will continue throughout the study, Clinical diagnosis of erectile dysfunction, IIEF score ≤21, Premature Ejaculation Diagnostic Tool (PEDT) score must be ≥11 Patients with life-long PE and acquired PE according to the description of International Society for Sexual Medicine (ISSM) , The patient and his partner must have sexual intercourse twice a week for the duration of the study, Commitment to comply with the study protocol, Patients who sign informed consent form (ICF). History of medical events such as surgical interventions or neurologic conditions (e.g., multiple sclerosis), trauma, or infections that are associated with the development of symptoms of premature ejaculation (PE) and considered a potential cause of PE, Having genital abnormalities, except penile curvature unless not prevent sexual intercourse, Developed erectile dysfunction or premature ejaculation due to drug use or quit taking drugs, Any conditions that prevent sexual intercourse with partners History of in last 6 months stroke, myocard infarction, cardiac insufficiency (New York Cardiovascular Associates (NYCA) phase II-IV), atrioventricular block or message disorder such as sick sinus syndrome, severe ischemic cardiac disease, syncope, unstable angina, life-threatening arrhythmia or hypotension, Patients who are not eligible to have sexual intercourse due to existing health problems, Autonomic neuropathy, retinitis pigmentosa, blood diseases, active peptic ulcer, abnormalities in ECG, severe systemic disease that cannot be controlled, Systolic/Diastolic blood pressure at rest <90/50 mmHg and 170/100 mmHg< History of allergy to Selective Serotonin Reuptake Inhibitor (SSRI) and phosphodiesterase inhibitor drugs, Continuing to use or quitted in last 3 months of Monoamine oxidase inhibitor (MAOI), Thioridazine, Serotonin Reuptake Inhibitor (SSRI), Selective-norepinephrine Reuptake Inhibitor (SNRI), Serotonergic drug/herbal product, tricyclic antidepressant and atypical antipsychotic drugs, Use of nitrates, alfa blockers, vasodilators, ketoconazole, itraconazole, ritonavir, saquinavir, telithromycin, nefazodone, nelfinavir, atazanavir, cimetidine, erythromycin, clarithromycin, fluconazole, amprenavir, fosamprenavir, aprepitant, verapamil, diltiazem, any kind of vasodilator, antiplatelet, anticoagulant, dapoxetine, phosphodiesterase 5 inhibitor, alcohol and stimulant drug, Patients on a different therapy (behavioral therapy or other drugs that are applied locally) for PE treatment During the study, the possibility of taking medication which may affect the study drug's pharmacokinetic/pharmacodynamic properties Patients who are defining symptoms of prostatitis clinically This section provides details of the study plan, including how the study is designed and what the study is measuring. This is where you will find people and organizations involved with this study. These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Combining Dapoxetine With Sildenafil or Tadalafil

This is where you will find people and organizations involved with this study. These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website. This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov.

What are the most common side effects of tadalafil?

This information was retrieved directly from the website clinicaltrials.gov without any changes.

• Tadalafil and dapoxetine are usually taken 30-60 minutes before sex.
• The combination can be used on demand or as prescribed by a doctor.
• Patients should report any prolonged erections or severe side effects immediately.
• The medication should not be used with nitrates or certain blood pressure medicines.
• Pregnant or breastfeeding women should avoid using these tablets.
• Proper storage away from moisture and heat preserves drug efficacy.

If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov.